陈霞从虚论治盆底功能障碍性疾病经验浅析  

Professor CHEN Xia’s experience in treating pelvic floor dysfunctional disease from the perspective of deficiency

作　　者：何婷婷[1] 陈霞[1] HE Tingting

机构地区：[1]南京中医药大学附属南京中医院,江苏南京210001

出　　处：《中医临床研究》2023年第34期47-50,共4页Clinical Journal Of Chinese Medicine

摘　　要：目的:总结分析陈霞教授治疗盆底功能障碍性疾病的学术思想与经验。方法:通过跟随陈霞教授抄方,收集整理其治疗该病的病案,从病因病机、治则治法以及遣方用药方面加以分析,并附验案一则。结果:陈霞教授认为盆底功能障碍性疾病之为病,以“虚”为本,主要归结于脾虚气陷、肾虚失固两方面,治疗不外乎升举、固摄、益气三法,兼湿热者,佐以清热利湿。其临床表现中虽常常兼夹湿热等实证表象,但应认清其本,运用清热燥湿之法只能解除其标,正虚之本尚未解决。标本兼顾才可能从根本上解决病因。在辨证施治基础之上必须从虚论治,升举、固摄、益气这一思想应当贯穿所有证型。所举验案患者辨证当属脾肾气虚证,兼有湿热,治以益气固脱,兼清湿热,疗效颇佳。结论:陈霞教授认为盆底功能障碍性疾病的病因病机以“虚”为本,脾肾功能失调,从而导致气机下陷,水液精微运化失常,肌肉失养,筋脉松弛,提系无力,进而出现一系列临床表现。临床上以脾肾两虚夹杂型多见,也可见肝、脾、肾三脏皆病,单一的气虚证及肾虚证较少。治疗上应重视脾肾同调,兼顾湿热之标,根据脾肾两脏轻重偏颇辨证加减用药。对于年龄偏大、肝肾亏虚、气阴两虚患者,注意守护真阴,滋阴益精,调补肝肾,酌加益气升提之品,缓增其效。Objective:To summarize and analyze the academic thought and experience of Professor CHEN Xia in treating pelvic floor dysfunctional disease.Methods:Based on learning from Professor CHEN Xia by copying prescriptions,the medical records of treating this disease were collected,compiled and analyzed from the aspects of pathogenesis and etiology,treatment rules and methods,as well as the prescriptions medication,and one empirical case was attached here.Results:Professor CHEN Xia believes that pelvic floor dysfunctional disease is based on deficiency,mainly referring two aspects of spleen deficiency and kidney deficiency,that the treatment does not exceed the three methods of lifting,strengthening,and supplementing Qi(气),and that for those patients with dampness-heat,it is complemented by the method of clearing heat and relieving dampness.Although the clinical manifestations are often accompanied by dampness-heat and other excess symptoms,the root cause should be recognized.The method of clearing heat and drying dampness can relieve the superficial symptoms,but the root cause of the deficiency can not be solved.The cause of the disease can only be solved by taking into account addressing both the symptoms and the root cause.On the basis of syndrome differentiation and treatment,we must treat the disease from the aspect of deficiency,and the thought of lifting,strengthening,and supplementing Qi should be applied to treat all symptom types.In the cited case,the patient was identified as spleen and kidney Qi deficiency plus dampness-heat,so the method of supplementing Qi was used,accompanied by clearing dampness-heat,and the effect was very good.Conclusion:Professor CHEN Xia believes that the etiology of uterine prolapse is mainly due to the dysfunction of the spleen and kidneys,which leads to the subsidence of Qi,abnormal transportation of water and essence,loss of muscle nourishment,relaxation of tendons and veins,and weakness of the lifting system,resulting in a series of clinical manifestations.Clinically,it is more

关 键 词：盆底功能障碍性疾病 阴挺 临床经验 

分 类 号：R271.1[医药卫生—中医妇科学]